The most important piece of evidence in a disability claim is the medical basis for the disability. If there is strong medical proof of the severity and continuation of your disabling condition, then there’s a good chance of your claim getting approved. However, this may not always be the case. Many conditions don’t have clear cut tests to prove their existence, and other conditions have testing protocols that either aren’t generally accepted or aren’t always accurate. Even if appropriate testing exists, claims examiners may try to dispute the opinion of the attending physician.
When these and other issues are noticed in the claim file and want to be explored, claims examiners will often demand that the claimant undergo an IME. Continue reading
Posted in Doctor Visit
- Tagged appropriate care, claim denial, claims process, Disability, disability claim, disability insurance, doctor, examiner, IME, Independent medical examination, Insurance, insurance company, Medical record, surveillance, tips
One of the biggest red flags a claimant can inadvertently create in their disability claim is to move. While there are many legitimate reasons someone can move, claim examiners have been trained to closely scrutinize a case where a claimant moves. New sets of arguments and investigative avenues are opened for the insurance company to use against you. As anyone who’s moved can tell you, moving is difficult at best. And the last thing someone needs, who is already trying to move while dealing with their disability, are new and additional hassles from their disability insurance company, not to mention the added stress of worrying that their benefits will be delayed or stopped. If you’re currently applying for or receiving disability benefits, there are several issues we think you should understand as well as a few tips on how to keep the disability claim process moving smoothly during this stressful time. Continue reading
Posted in Claims Process
- Tagged appropriate care, arthritis, back pain, benefits, carpal tunnel syndrome, chronic pain, claim denial, Disability, disability claim, disability insurance, examiner, fibromyalgia, filing a claim, Insurance, insurance company, Pain Management, rheumatoid, total disability
We have started our new video blog series. Check out our first video!
To many people who work outdoors and even those who don’t, winter can be a time of discomfort and coping with a number of different cold weather-induced conditions. One of the more common reasons clients contact us around this time of year revolves around the weather and its intensifying effects on their conditions. While many conditions seem more manageable during the warmer months, some conditions can make work unbearable when the thermometer drops. Today, I’m going to talk about weather-induced asthma and how to try to cope with this condition during cold weather. Continue reading
Posted in Best Practices
- Tagged Allergen, appropriate care, asthma, benefits, claims process, cold air, disability claim, disability insurance, Indoor air quality, reources, Respiratory Disorder, weather-induced asthma, winter, Wintertime
From all of us at Royal Claims Advocates to you and your loved ones, we wish you a happy and healthy holiday season! This blog normally provides you with advice and tips on filing a successful disability claim, but today we’re going to take a break from the normal claims grind – and explain why you should too. Continue reading
Almost everyone will experience some sort of back pain during the course of their lives. This can extend from the cervical to thoracic to lumbar, not to mention shooting into arms and legs, and range in severity from a minor, short-term twinge to protracted, excruciating pains that last for months. For people who deal with chronic back pain on a daily basis, performing what used to be simple tasks and normal work functions can become difficult and sometimes unbearable. Even with surgical intervention, the pain may prove too overwhelming for many people. In addition, this pain can lead to a host of other conditions such as depression and anxiety. When this occurs, sufferers of chronic back pain may need to consider applying for their disability benefits.
The claim process is full of unexpected pitfalls and hurdles that may weaken the claim and cause benefits to either be delayed or denied, preventing you from having the money you were counting on to pay the many bills that crop up when you become disabled. These following six tips represent some of the most common problems our clients have experienced when filing their claim for benefits based upon conditions that cause chronic back pain and the ways to avoid these problems, helping you receive your benefits as soon as possible when you need them most. Continue reading
Posted in Best Practices
- Tagged back pain, benefits, chronic pain, claims process, Disability, disability claim, disability insurance, examiner, filing a claim, Pain Management, settlements, social media, success story, surveillance, tips
When you file a disability claim, your main point of contact with the insurance company is usually a claims examiner who has been assigned to your claim. These individuals are trained to act as your lifesaver during your time of need, but they’re specifically trained (and sometimes even rewarded) to search for reasons to deny claims and goad claimants into making statements that are not representative of the truth and can be twisted to the insurance company’s advantage. There are many different ways that the insurance companies try to reach their profit goals, but one of the most obnoxious techniques seems to use aggressive and pushy tactics in the claim departments to force mistakes or cause anxiety and fear that cause claimants to reconsider whether they should even pursue their benefits. Knowing the fragile state of many claimants when they file for disability benefits, some claims departments capitalize on these weaknesses and manipulate LTD claims process to their advantage. Continue reading
Our firm gets many questions from individuals experiencing all different kinds of issues with their disability insurance. From questions about nuances between companies and policies to what could be considered to be appropriate care, we help with details of disability insurance everyday. However, these aren’t the only issues facing our clients. We know that our clients can better help themselves and return to work more successfully if they take care of themselves and follow some simple steps to help improve their recoveries. In today’s blog, I am going to talk about a few simple techniques to help those suffering from some of the most common condition that reach out for our help: chronic pain syndrome. Continue reading
Posted in Best Practices
- Tagged benefits, chronic pain, claim denial, claims process, Disability, disability claim, disability insurance, doctor, examiner, filing a claim, insurance company, Pain Management, residual disability, total disability
Many claimants who contact our offices know little about disability insurance. Some are aware that they have disability insurance and need help, while others don’t even know what kind of policies they have and just happen to find our firm while trying to figure out their next steps. Most people realize the need for disability insurance but because it’s bundled in group packages from their employer, they have never seen their actual policy and know little of their coverage rules and limitations. When the time unexpectedly comes to file a claim for benefits, disability insurance companies capitalize on this lack of knowledge and use it to place some claimants at a significant disadvantage when initially filing their claim for benefits.
However, it doesn’t have to be this way. Information is available to learn about the risks you face of becoming disabled, different types of policies and options, and how you can protect yourself and your income. Doing this homework before purchasing a disability policy will help ensure that you have an understanding when you have to file a claim for benefits while you’re disabled along with the comfort that you and your family is protected if something prevents you from earning a living or continuing in your job. This ounce of preparation will allow you to use disability insurance for its intended purpose: to reduce the risks of everyday life. Continue reading
Posted in Disability Insurance
- Tagged benefits, claim denial, claims process, Disability, disability claim, disability insurance, examiner, filing a claim, Insurance, insurance company, reources, tips, unum provident
In the past few weeks, there have been some interesting news articles that either impact the landscape of the disability insurance industry or affect how disability benefits may be awarded in the future. As a disability claim consultancy firm, we accept our challenging responsibility to stay current on industry news and realize that many don’t have the time or ability to keep up with the volume or focus of information. There are developments in many different fields that can have a direct impact on disability insurance and individual claims, from new medical research to job programs to court decisions. Taking the time to research our industry allows us to stay current on the best claims presentation and handling processes and updates the ways we interact with our clients and the recommendations we make about their disability claims. We hope that seeing how we keep our clients up to date on news and developments helps your own decision-making process and builds trust in the disability claim community. Of course, the only problem is that change and developments never stop. While these topics were current when this blog post was written, everyday they become a little more outdated. Please stay tuned for future news and updates. Continue reading
Posted in Current Events
- Tagged back pain, benefits, chronic pain, claim denial, depression, Disability, disability claim, filing a claim, Insurance, National Disability Employment Awareness Month, prescription abuse, Prescription medication, reources, residual disability, settlements, total disability, unum provident